Healthcare Provider Details

I. General information

NPI: 1043016876
Provider Name (Legal Business Name): CHRISTOPHER WILLIAM WHITMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 NE 71ST ST STE A
SEATTLE WA
98115-5873
US

IV. Provider business mailing address

4025 DELRIDGE WAY SW STE 400
SEATTLE WA
98106-1273
US

V. Phone/Fax

Practice location:
  • Phone: 206-288-0052
  • Fax: 206-524-0952
Mailing address:
  • Phone: 206-763-2626
  • Fax: 206-767-1397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberVA61667388
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: